婦科微創醫療技術2016新境界...2016/07/26 · 婦科微創醫療技術2016新境界...
Transcript of 婦科微創醫療技術2016新境界...2016/07/26 · 婦科微創醫療技術2016新境界...
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婦科微創醫療技術2016新境界 Gynecologic Minimal Invasive Therapy (GMIT)
吳銘斌 醫師 (Ming-Ping Wu, M.D.,Ph.D.)
奇美醫學中心 婦產部婦女泌尿暨骨盆醫學科主任
教育部定嘉南藥理大學 合聘教授
成功大學醫學院臨床醫學研究所 博士
2016-06-01 OR
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Women Health --What Can we do for women?
• Minimal invasive therapy (MIT)
– Laparoscopy (LAVH, LSH, LM)
– Hysteroscopy
– Resectoscopy
• Pelvic reconstructive surgery (PRS)
– Midurethral sling (MUS) for stress urinary incontinence (SUI)
– Transvaginal mesh (TVM) for pelvic organ prolapse (POP)
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Laparoscopy
• Laparoscopic-assisted vaginal hysterectomy (LAVH) (LH)
• Laparoscopic supracervical hysterectomy (LSH)
• Laparoscopic myomectomy (LM)
– Morcellator
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離世之前三天,阿山哥仍不忘鼓勵筆者要把微創手術更加的發展精進。
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LAVH for huge uterine myoma
2016-06-15 52 y/o LAVH with compression
Pathol: 18 x 9.5 x 7.5 cm, 568 gm
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LAVH for sever pelvic adhesion
2016-06-28 46 y/o LAVH with pre-C/S
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LAVH for simple uterus
49 y/o LAVH + BS on 2016/06/15
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Ureteral injury- CT scan
49 y/o LAVH + BS on 2016/06/15
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Ureteral injury- CT scan
49 y/o LAVH + BS on 2016/06/15
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Ureteral injury- cystography
49 y/o LAVH + BS on 2016/06/15
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Ureteral injury- double J insertion
49 y/o LAVH + BS on 2016/06/15
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腹腔鏡次全子宮切除術(LSH)
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腹腔鏡次全子宮切除術(LSH)
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腹腔鏡肌瘤切除術(LSC myomectomy)
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腹腔鏡肌瘤切除術(LSC myomectomy
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腹腔鏡肌瘤切割器(LSC morcellator)
• 施行腹腔鏡肌瘤切除術時,偶爾於術中或術後可能發現為肉癌之機率(發生率為千分之三)。依2014年之醫學文獻及美國食品與藥物管理局(FDA)發佈指出,當使用肌瘤切割器,而肌瘤診斷為肉癌時,可能造成肉癌擴散,因而影響肉癌的預後及長期之存活率。
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巨大子宮肌瘤經肌瘤切割器
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達文西(da Vinci)機械手臂微創手術
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手術醫師更精確控制器械
手術醫師經由醫師主控台
的把手精密而且細膩地操控機械手臂的手術器械。
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達文西-子宮肌瘤切除術
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輸卵管重接
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子宮懸吊術
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陰道薦骨固定術
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達文西子宮薦骨懸吊術(sacro-hysteropexy)
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Patient position: dorsal lithotomy
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與傳統腳架的差別
增加操控性,更容易定位,最佳的開刀視野,容許手術中重新定位,節省手術時間,不須重新更換敷巾。
迅速和緩的調整,避免過度牽引的保護,沒有突發的外傷及術後的神經傷害。
減少裝設的時間,增加在手術時的安全,省力的設計,減少背部的傷害,方便記錄,易於清洗及儲存。
關於醫師
關於患者
關於專責
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簡易說明
相關零配件
1. Rail Clamps (軌道夾)
2. Foot-Hugger Boot Pads (腳套)
3.Stirrup Cart (放置架)
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骨盆沾黏
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防沾黏 Anti-adhesion material
Surgiwrap
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防沾黏Anti-adhesion material
Hyalobarrier gel Seprafilm
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Pelvic abscess
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止血凝膠
伏血凝止血劑Floseal Tisseel
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子宮鏡手術
吳銘斌 醫師/博士
奇美醫院婦產部婦女泌尿科主任
台北醫學大學醫學院婦產學科 副教授
成功大學醫學院臨床醫學研究所博士
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Hysteroscopy (HSC)
• HSC
• HSC小 (Storz) OR room 4
• HSC大 (Wolf)
• RSC小 (Storz) + 電燒機(Storz)
• RSC大 (Comeg) +電燒機Thermostat (J&J)
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Hysteroscopy (HSC)
• sto
Storz
Wolf
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Resctoscopy (RSC) Storz
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Resctoscopy (RSC) Comeg
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軟式子宮鏡 Flexible Hysteroscopy (HSC)
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硬式子宮鏡 Rigid Hysteroscopy (HSC)
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正常子宮腔
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子宮息肉
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Resectoscopy (RSC)
• Complicated Case:
– cornual pregnancy
– cervical pregnancy,
• TCR (transcervical resection)
– Myomectomy
– Resection of intrauterine adhesion or septum
– Endometrial ablation
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子宮鏡處理異位妊娠子宮角懷孕
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子宮鏡處理異位妊娠子宮角懷孕
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子宮縱膈、子宮內沾黏
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子宮縱膈、子宮內沾黏
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子宮內沾黏 Intrauterine adhesion
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子宮鏡內膜破壞術(燒灼術)
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子宮鏡內膜破壞術(燒灼術)
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69
尿動力學檢查
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尿動力學檢查
• 地點:第一醫療大樓B2碎石中心暨影像尿動力檢查室 (Video-urodyanmic study
• 地點:第一醫療大樓2F婦女醫學門診區婦女尿動力檢查室 。
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婦產部臨床服務量暨相關品質指標(24)
尿動力學檢查
0
100
200
300
400
500
102年 103年 104年
153
217
404
羊年 蛇年 馬年
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月份 UDS
1 32
2 26
3 43
4 40
5 38
6 39
2016
W2 Nt, W3 pm&Nt, W6 am&pm (隔周)
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Midurethral sling (MUS)
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Midurethral sling
• 1st: Retropubic 恥骨後吊帶
– TVT (J&J), Advantage (Boston Sci), KIM-RP (Neomedic)
• 2nd: Trans-obturator 經閉孔吊帶
– TVT-O (J&J), Monarc (AMS)*, Obtryx Halo (Boston Sci), KIM-Out-In (Neomedic)
• 3rd: Mini-sling 超迷你吊帶
– Mini-arc (AMS)*, Ajust (Bard), Solyx (Boston Sci)
•
(AMS)* 2016-03 停產 存貨供應
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1st: Retropubic 恥骨後吊帶 TVT (J&J), Advantage (Boston Sci)
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1st Advantage (Boston Sci)
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A unique knotless mesh
KIM system
KIM: knotless incontinence mesh
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WHAT IS KIM? It’s a knotless mesh
for the treatment of female stress urinary incontinence.
HOW IS IT PLACED? It is universal, for both TVT & TOT techniques
KIM-01
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KIM-01
KIM-RP
RP: retropubic
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2nd: Trans-obturator 經閉孔吊帶 TVT-O (J&J), Monarc (AMS)*, Obtryx Halo (Boston
Sci)
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2nd Obtryx (Boston Sci)
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KIM-01
KIM-Out-In
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無張力尿道中段吊帶術
膀胱
中段尿道
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Monarc TVT-O
SPARC TVT
Transobturator
Retropubic
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Midurethral sling (MUS)
Transobturator
經閉孔
Single-incision 超迷你吊帶
Retropubic
經恥骨後
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3rd: Mini-sling 超迷你吊帶
Ajust (Bard) Mini-Arc (AMS)
TVT-S (J&J)
Solyx (Boston)
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3rd Solyx (Boston Sci)
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3rd Solyx (Boston Sci)
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3rd Ajust (Bard)
Post-Insertion, Fully Adjustable,
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3rd Ajust (Bard)
Post-Insertion, Fully Adjustable,
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3rd Ajust (Bard)
Post-Insertion, Fully Adjustable,
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Midurethral sling
• 1st: Retropubic 恥骨後吊帶
– TVT (J&J), Advantage (Boston Sci), KIM-RP (Neomedic)
• 2nd: Trans-obturator 經閉孔吊帶
– TVT-O (J&J), Monarc (AMS)*, Obtryx Halo (Boston Sci), KIM-Out-In (Neomedic)
• 3rd: Mini-sling 超迷你吊帶
– Mini-arc (AMS)*, Ajust (Bard), Solyx (Boston Sci)
•
(AMS)* 2016-03 停產 存貨供應
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自費耗材(4F產房)
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Kelly plication
Tradition bladder-neck sling
1st generation: Supra-pubic
TVT, Advantage, SPARC, IVS
2nd generation: Trans-obturator
TVT-O, Monarc, Obtryx Halo
The evolution of midurethral sling (MUS)
3rd generation: Single-incision
TVT-S, MiniArc, Ajust, Solyx
TVT: tension-free vaginal tape
TVT-O: –obturator
TVT-S: -secure
SPARC: suprapubic arc
Endoscopic bladder neck
suspension (EBNS)
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單獨尿失禁手術
0
20
40
60
102年 103年 104年
2126
47
婦產部臨床服務量暨相關品質指標(22)
羊年 蛇年 馬年
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子宮陰道脫垂的全方位治療 Pelvic Reconstructive Surgery
• Transvaginal mesh (TVM) for pelvic organ prolapse (POP)
– Transobturator transvaginal mesh
– Single-incision transvaginal mesh
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子宮、膀胱、直腸脫垂
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子宮切除後陰道穹窿脫垂
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子宮陰道脫垂(原理)
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子宮脫垂嚴重度
www.moondragon.org/obgyn
第一度 第二度
第三度
陰道穹窿脫垂 子宮脫垂
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子宮脫垂vs陰道穹窿脫垂
子宮脫垂
陰道穹窿脫垂
正常
子宮
直腸
膀胱
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陰道前後壁脫垂
膀胱脫垂 直腸脫垂
小腸脫垂vs
膀胱
直腸
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• 預防保養
• 物理療法
• 骨盆運動
• 生理回饋
• 磁波椅
• 子宮托
• 藥物
• 雷射緊實
• 手術
• 術後保養
子宮陰道脫垂的全方位治療
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骨盆運動
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Demo
教導前
教導後
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生理回饋-幫妳做對骨盆肌肉運動
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體外磁波椅Extracorporeal Magnetic
Innervation (ExMI)
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子宮托
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雷射陰道緊實
Laser Vaginal Rejuvenation (LVR)
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3600 緊實陰道
900 輕度尿失禁
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經陰道人工網膜植入術 Trans-Vaginal Mesh (TVM)
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Trans-obturator vaginal mesh for pelvic organ prolapse (POP)
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TVM
Transobturator TVM
Single-incision TVM
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經陰道人工網膜
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經陰道人工網膜
前壁 後壁
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無傷口經陰道人工網膜 (單一陰道壁切口)
保留子宮 切除子宮
手術後
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無傷口經陰道人工網膜 (單一陰道壁切口)
愛力倍Elevate Anterior (AMS)
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Uphold (Boston Sci)
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Uphold (Boston Sci)
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Uphold (Boston Sci)
Capio
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無傷口經陰道人工網膜
歐普候Uphold (波士頓科技)
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無傷口經陰道人工網膜 (單一陰道壁切口)
凱莉星Calistar (博美敦Promedon)
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無傷口經陰道人工網膜 (單一陰道壁切口)
保留子宮 切除子宮
C D
吊帶
網膜 (前片)
網膜 (後片)
(可合併無張力尿道中段吊帶術)
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人工網膜骨盆重建 (合併有無尿失禁手術)
婦產部臨床服務量暨相關品質指標(23)
0
10
20
30
40
102年 103年 104年
24
32 30
羊年 蛇年 馬年
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經陰道人工網膜TVM
–陰道前壁及頂端
•愛力倍Elevate Anterior(AMS)(自費約41,600)(已停產)
•歐普候Uphold (波士頓科技Boston Sci)(自費約58,500)
•凱莉星Calistar A (博美敦Promedon)(自費約46,000)
–陰道後壁及頂端
•愛力倍 Elevate Posterior(AMS)(自費約35,000)(已停產)
•凱莉星Calistar A (博美敦Promedon)(自費約39,000)
American Medical System (AMS) Boston Scientific (Boston Sci)美國 Promedon 阿根廷
$(自費耗材)
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